Individual
CARLYE GENISIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3050 S NATIONAL AVE STE 104, SPRINGFIELD, MO 65804-4242
(417) 597-4572
Mailing address
3050 S NATIONAL AVE STE 104, SPRINGFIELD, MO 65804-4242
(417) 597-4572
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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